Individual provider Active NPI

Sridevi L Dasa, MD

  • Emergency Medicine Physician
  • Garland, TX
National Provider Identifier
1558375980
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
J8984 Issued in TX
Practice address
2300 Marie Curie Dr
Garland, TX 75042-5706
Phone
(972) 272-6561
NPI assigned
Jul 28, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X J8984 TX Primary

Addresses

Primary practice location

2300 Marie Curie Dr
Garland, TX 75042-5706

Mailing address

110 Lake Forest CT
Garland, TX 75044-4221
Phone (972) 675-8214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050204000404 TX Practitioner - Emergency Medicine 1951352145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
99.43 of 100Reported as group
Quality
93.73
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J8984TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Century Integrated Partners, Inc Emergency Medicine CurrentSince Jan 1, 2016 Accepting new patients
Dallas Anesthesiology Associates, PA Past Accepting new patients
Texas Em-1 Medical Services, PA Emergency Medicine Past Accepting new patients
Collin Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Texas Em-I Medical Services, P.a. Emergency Medicine Past Accepting new patients
Innovative Emergency Medicine PA Emergency Medicine Past Accepting new patients

Locations

3500 Gaston Ave
Dallas, TX 75246

12505 Lebanon Rd
Frisco, TX 75035
Phone (972) 731-4800

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

2300 Marie Curie Dr
Garland, TX 75042
Phone (972) 487-5000

1100 Allied Dr
Plano, TX 75093
Phone (469) 814-3278

4700 Alliance Blvd
Plano, TX 75093
Phone (469) 814-2000

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558375980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 LAKE FOREST CT",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750444221",
            "telephone_number": "972-675-8214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 MARIE CURIE DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750425706",
            "telephone_number": "972-272-6561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASA",
        "first_name": "SRIDEVI",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "J8984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.